Perforation of the globe--a complication of peribulbar anaesthesia

Peribulbar anaesthesia has been recommended as a safer alternative to retrobulbar anaesthesia. We report a case of perforation of the globe sustained during peribulbar anaesthesia which resulted in blindness. Orbital injections are potentially dangerous, be they peribulbar or retrobulbar. To minimis...

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Bibliographic Details
Published in:British journal of ophthalmology 1991-08, Vol.75 (8), p.504-505
Main Authors: Joseph, J P, McHugh, J D, Franks, W A, Chignell, A H
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Anesthesia, Local - adverse effects
Biological and medical sciences
Blindness - etiology
Cataract Extraction
Eye Injuries - etiology
Female
Humans
Injuries of the orbit. Foreign bodies of the eye. Diseases due to physical agents
Medical sciences
Orbit
Retinal Detachment - etiology
Traumas. Diseases due to physical agents
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Summary:Peribulbar anaesthesia has been recommended as a safer alternative to retrobulbar anaesthesia. We report a case of perforation of the globe sustained during peribulbar anaesthesia which resulted in blindness. Orbital injections are potentially dangerous, be they peribulbar or retrobulbar. To minimise the risk, short, blunt needles are advocated for the peribulbar route.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.75.8.504